Tatiana M De Leon Mendez, MD
Individual provider Active NPI General Practice Physician · Bayamon, PR
NPI 1083288989 · NPPES record last updated Sep 17, 2025
Key facts
- NPI
- 1083288989
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 24692 (PR)
- Practice address
- Calle 28 Santa Juanita
SS-41
Bayamon, PR 00956 - Phone
- (939) 494-4153
- NPI assigned
- May 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
900 Calle Cerra
San Juan, PR 00907-5104
Phone (939) 494-4153
HC 02 Box
Arecibo, PR 00612
SS 41 Calle 28
Urb Santa Juanita
Bayamon, PR 00956-4744
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251106003508 | PR | Practitioner - General Practice | 3779073812 |
Reassigns benefits to 2 organizations Practice locations: San Juan, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24692 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salud Integral En la Montana, Inc. | Single Specialty | Current |
Accepting new patients |
| Salud Integral En la Montana, Inc | Current |
Accepting new patients | |
| Salud Integral En la Montana, Inc. | Single Specialty | Current |
Accepting new patients |
| Salud Integral En la Montana, Inc | Single Specialty | Current | Accepting new patients |
| The San Jorge Hospital Inc | Past | Accepting new patients |
Locations
156 Calle Barcelo
#53
Barranquitas, PR 00794
Phone (787) 857-2688
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | 24692 | PR | Yes |
Addresses
Primary practice location
Calle 28 Santa Juanita
SS-41
Bayamon, PR 00956
Mailing address
28 Calle Santa Juanita
SS-41
Bayamon, PR 00956
Phone (939) 494-4153
Other providers in Bayamon, PR
- Alba Estela De la Cruz-Robles
- Miguel Dario De la Cruz
- Eneida Maria De la Torre - Lugo
- Irene Margarita De la Torre
- Iliana Nanette De Leon Martinez
- Carmen Z De Leon
- Maribelinda Belen De Leon
- Jean C De Los Santos Ramos
- De Mujer a Mujer LLC
- Magda Elaine De Pool
All providers in Bayamon, PR · General Practice Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.